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- Rohitha A Moudgal, Ameneh Zare-Shahabadi, Ashkan Mowla, Aaron W Grossman, Charles J Prestigiacomo, and Peyman Shirani.
- Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
- World Neurosurg. 2020 Nov 1; 143: 79-82.
BackgroundThis case series describes the use of the Medtronic Micro Vascular Plug (MVP) system in the treatment of acute massive orofacial hemorrhages in patients with cancer and trauma, resulting in successful hemostasis in these emergent cases.Case DescriptionThe first case describes a patient who presented with life-threatening oropharyngeal hemorrhage after a motor vehicle accident. In the second case, a patient with oropharyngeal cancer presented with life-threatening bleeding from an ulcerated tumor. Patients were successfully treated with a combination of MVP and coils. Immediate postprocedural imaging confirmed that homeostasis was achieved.ConclusionsThese cases demonstrate that the MVP as an embolic device is a valuable transarterial embolic treatment option in cases of acute orofacial bleeding where rapid, effective hemostasis is required.Copyright © 2020 Elsevier Inc. All rights reserved.
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